ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic hysterectomy of large uteri with uterine artery coagulation at its origin.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 28 citations in OpenAlex.
- Feasibility of vNOTES hysterectomy in patients with enlarged uteri: a single-center experience.Journal of the Turkish German Gynecological Association · 2025Article
- Anatomic variation of a duplicated uterine artery.Anatomical science international · 2024Article
- Value-based assessment of hysterectomy approaches.The journal of obstetrics and gynaecology research · 2019Article
- Three-dimensional computed tomography angiography reconstruction of the origin of the uterine artery and its clinical significance.Surgical and radiologic anatomy : SRA · 2018Observational
- Anatomical study of the inferior vesical artery: is it specific to the male sex?Surgical and radiologic anatomy : SRA · 2017Article
- Laparoscopic hysterectomy of large uteri using three-trocar technique.International journal of clinical and experimental medicine · 2015Article
- Radiological anatomical study of the origin of the uterine artery.Surgical and radiologic anatomy : SRA · 2014Article
- The retrograde and retroperitoneal totally laparoscopic hysterectomy for endometrial cancer.International journal of surgical oncology · 2012Article
- Retroperitoneal Approach in Single-Port Laparoscopic Hysterectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Laparoscopic Hysterectomy Outcomes: Hospital vs Ambulatory Surgery Center.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo argue the usefulness for performing total laparoscopic hysterectomy with primary uterine artery coagulation at its origin for a series of women presenting with an enlarged benign uterus.
methodEighteen women having undergone the procedure consecutively during a period of 17 months were studied retrospectively. The inclusion criteria were an enlarged benign uterus weighing more than 280 g, managed by total laparoscopic hysterectomy with primary uterine artery coagulation at its origin.
resultsPatient median values (range) for age, body mass index, and parity were respectively 47.5 years (range, 38 to 53), 25 kg/m2 (range, 19.3 to 34.9), and 2 (range, 0 to 3). The median value for uterine weight (range) was 540 g (range, 280 to 1,015), and the median duration for the surgical procedure was 185 minutes (range, 90 to 260), the longest procedures being due to associated deep endometriosis resection and extensive adhesions. The duration of the intervention was not significantly correlated with uterine size (correlation coefficient r=-0.15, P=0.56), and no intra- or postoperative complications were recorded.
conclusionThe selective coagulation of the uterine artery at its origin is a reproducible technique that allows total laparoscopic hysterectomy in enlarged uteri. This procedure avoids unexpected intraoperative hemorrhage requiring conversion to the abdominal route and provides optimal protection for the ureter.
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18402735PMC3016023W2417321133What OpenQuestion holds
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